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Organization
ST JOHNS COUNTY BOARD OF COUNTY COMMISSIONERS
Active
Organization
ST JOHNS COUNTY BOARD OF COUNTY COMMISSIONERS
Active
Other names
ST JOHNS COUNTY MENTAL HEALTH DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA COLAVITO PHD (HEALTH & HUMAN SERVICES DIRECTOR)
(904) 209-6082
Entity
Organization
Contact information
Practice address
1955 US HIGHWAY 1 S, SUITE C-2, ST AUGUSTINE, FL 32086-3708
(904) 209-6001
(904) 209-6002
Mailing address
1955 US HIGHWAY 1 S, SUITE C-2, ST AUGUSTINE, FL 32086-3708
(904) 209-6001
(904) 209-6002
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39301
OUTPATIENT SERVICES
FL
Enumeration date
10/19/2005
Last updated
07/16/2007
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